The MetALD thresholds are in grams per week, and patients never answer in grams. In India a standard peg of spirits (30 mL at 42.8%) is about 10 g of alcohol; a 650 mL bottle of strong beer is about 40 g; a 750 mL bottle of whisky is about 250 g.
So a man drinking three pegs most evenings is about 210 g a week — the lower MetALD threshold for men. Ask about the weekend separately; that is where most of the total usually sits.
- One peg (30 mL spirits) ≈ 10 g.
- One 650 mL strong beer ≈ 40 g.
- One 750 mL bottle of whisky ≈ 250 g.
- Ask weekday and weekend intake separately.
Why it matters
The difference between MASLD and MetALD is a number most histories never record.
Read the rest in the app
You have read your two free briefings this month. The app carries all 27 specialties, every morning, free — and this finding is waiting in it.

Scan to keep reading on your phone. No account needed to start.
Tomorrow morning, before your first patient
One edition a day for internal medicine, written by the desk, every claim tied to its paper. Six minutes.
Get the app — free